**5. Conclusion**

Medical students experience a substantial amount of distress during their training, which has been shown to contribute to substandard academic performance, dishonesty, pessimism, and substance abuse [20]. A good physician requires the sound mental health to nurture and increase compassion, professionalism, and tolerance [20]. The main stresses identified during literature search are academic related. An undue amount of stress during medical education had the negative effect on students, who might have experienced difficulties in social encounters and a lack of concentration which leads to increased frequency of blunders, carelessness, and negligence [45]. Poor psychological health not only upsets students' lives but also has undesirable effects on patients' care in the long run [39]. Increased frequency of depression and anxiety within medical professionals may put the future of health care in danger; it may cause reduced productivity, low quality of life, and learning difficulties which will ultimately have a negative effect on the quality of patient care [20]. Depression, anxiety, and stress can have profound negative effects on the learning abilities of students [24], and this will ultimately affect the quality of care delivered to the patient and quality of life [53]. Evaluation of the literature shows that students and doctors who are suffering from mental distress are more likely to have poor professionalism, ranging from cheating, plagiarism, and providing substandard patient care [45]. So as a medical educator, this is a real state of urgency to introduce innovation in the curriculum to improve mental health, for this effort existing literature on curricular factors may serve as a model.
